Healthcare Provider Details

I. General information

NPI: 1164049508
Provider Name (Legal Business Name): OHNI IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST # 945E
LOS ANGELES CA
90048-5901
US

IV. Provider business mailing address

8631 W 3RD ST # 945E
LOS ANGELES CA
90048-5901
US

V. Phone/Fax

Practice location:
  • Phone: 310-657-0123
  • Fax: 310-657-0142
Mailing address:
  • Phone: 310-657-0123
  • Fax: 310-657-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN OSBORNE
Title or Position: CEO/MD
Credential: MD
Phone: 310-657-0123